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HomeMy WebLinkAbout2283 LINDSAY DR; ; 86-43; Permit"' z 0 " " <C " ~ u "' 0 ~l : ,_ z 0 <.) <C "' 0 ~ 5 .. "' "' z ! z 0 " ~ z "' .. "' 0 <.) "' ic "' "' <C 0 3 ![ D I hereby affirm that I am licensed under provisions of Chapter 9 \commencIng with Section 7000) of Oi~1sion 3 ol the Business and Professions Code, and my license 1s 111 full force and effect. L,L Nu ____ _ he<eov 1.11,rrr, That t~r s ucerse Law tur lhc Business a1r. Pr•Jte,sio"' CMe lie,• :p·es a perm,: 'O ,:'.;cc;:ru::. :":" •• '.:.· ~,~:'~/~Jr s~~~:: ";;,~,'ti~·;,i;s a·:·:·::.;-:.: ... c::.':;"\"~/ 1,cesw,1 r, .. rsu1nl '0 The ,ircw ~n; 0• I :erse Law 'C~c8'W 9 c~r""'llerc,~g O,,.,,s Jn 3 ol l~e Bus ness and PrJte,1 c,w, ·•10' e-pt '"erefrom aod ttie nas,s 1:Jr :he e: e;ieG e,emc; ,. n,ar,.on J' Se:l18n ~031 5 b/ a1 ,.ppl,nnt 'or 1ec's t"e 2pl1canr to a c1✓•1 pena:')' n' j•ed col ars i$')'JC·, I as ow nee :;f :•e Jr e-J 01ees 1,,·--,aoe0• ac tier sole ,:orcprosar,o-.,. ao ture -s ,,01 ,nrundec Gr o'le·ec for sa ~, ond Proless,cw, Sode -re Lort·acs· s cirw·oe "J"' ,coes not app,y to an cw1er ~: property" WIHJ bu,;ds •J' ,moroveo tr,ereoo and who does '\uCh worl< h,rr,self or ThraJgh ~,s awe emplDiee> provided Thal such ,~p,:;-1en1eets ace not ,~terd ea or affered f9r sale 11. hcwe">·e· the ou,ld.ng or ,mpr:ive mer,; ,s sold w,th,n ere veac GI CG":r,,ef10" :he owner-hr,, de, will hdve :he tJu·cen ~f prav,ng !hal he did not builc er ,m prove tor 'he Durpose ot s.1:e1 I. as owner of tne aro~e·ty am e,clss1ve1y con"'ac:,eg wt~ ,,censed cortractJrs to on,1rucl lhe pro1ect 1Se( 70A4 Bus,~ess anc Proless,ons Cccu The Co1:-ac:o, s _,cersf Law does ~ot app'y le ao owner 01 prope·ty ;,ho D1.,1 cs or ,rr- oroves !hereon and ,iho cortrac1s 'or each oro1ec:s .,,,,~ a cont'a<:tor,s' 11~e~se purs"ant to the co~r,ac:cr·s 1,ce~se caW,I As a homeowner I arr, ,rnwov n,1 m1 home and n,e !c, low 1ng conc1t1ons exist 1 The won, ,s be,~g pe''ormed to c,a'e 2 I 0ave _i,ed ,n ml' 110°·,e twe ,e months P' or :c CD""plet,on ol this wcr, I ra,·e nJt cla1'"led 1"1s exernpt,oo duri1c; the 12st \hree yea-s !or t'h~: r:~:;t under Sec _____ _ B & Pr: I hereby a"irm :hat I have a (Ntrl,cate of consen: to sel· ,~sve or a cert·l,c.ite o' ','IO••ers Corrpensat,or, In Su'Jrce or a ~,-rt,' ed ~OP) taereof ,Sec 3500 ~d:ior Co. POLICY NO COMPANY Ccpy s Ired 1•. th the c,ty Cert1l1ed cop; rs ~ereby 'urn, CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE !Th<S section need rot be ~ompleted ,f the permit ,s for one hundred dollars ,$100! or less) _ I cer11fy !hat ,n the performance o: the work for w~1ch thrs perm rt 1s ,ssued. I shall not employ any person ,n any manner so as to become sub1ect to the Workers Com pen sat,on Laws of Callforn,a NOTICE TO APPLICANT, If, after making m,s Certificate of Exemption. you sho~ld become subJect to \he Wor~ers Compensation prov1s1ons or the Labor Code. you musl !orthw1lh comply wrth such prov1s1ons or th1s perm ,t si'all be deemed revoked , I I hereby afftrm that there Is a construction le~d,ng agency for the performance of the work to, which th,s ;,er mrt 1s issued (Sec 3097. C,vrl Godel Lenders Name Lender's Address USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION &J,EAMIT JOB ADDRESS d ~ ~CL~\ ST "b hi~oss 5 ~ $ ba_d_ DATE OF APPLICATION .:2..~65 I-\S-80 ~I BLOCK ! SUBDIVISION I ASSESSOR PARCEL NO :;\ :J );;l lfl I L, <50 V OWNEffS NAME OWNER'S PHONE r$0.NEt.T~ N\obLLL :r:: ' ~ ' cl;\ 93! l2.34 QWN~R'S MAIL•NG ADDRESS ~ ;)8 3 t:d~s.0-v\ P---'L-Gk:cL., CONTRACTOR'S ADDRESS -ON ~\LE- DESIGNER i~~ ~ l\pj--T loes,cNeRSADoRess I- Cl "'SUS •PM, I ,,e. AND use l SARK,MC SCACe Ph U"TS I QTY PLUMBING PERMIT· ISSUE EACH FIXTURE TRAP u fLR ELEV ,□ .... c, GRADING PERMIT ISSUEC 1RE:OEVE:LOP'v1ENT A REA YO ~ □ ,= -...c ! QTY MECHANICAL PERMIT. ISSUE INSTALL FURN DUCTS UP TO 100 000 BTU NO STORIES TYPE CONST PERMIT NUMBER ""p , ~ JS~ENSE rt VALUC~N ?5U,~- ZONE CONTRACTORS PHONE • LICENSE NO. ~LAN 1.0. rt BUI LOI NG 50 FOOT AGE DESIGNER'S PHONE LICENSE NO ace GP 1 I EDU ace LOAD r !\"~' 1~ y.,)!-/':rJ ~ l/!5/869067 Dl'UIS,67 1/1~/ 86 ,-) ,., ,,-J'/,, Nor Valid Unless M,1ehine Certrfred SUMMARY/ACCOUNT NUMBER BUILDING PERWT 001 810-00-00·8°2'2'0 f---- 2462; o, 3LJ!2~or: EACH EiUIL DING SEV,'ER -· t ---·------~· SIGN PER'v11T 001-810-00-00-8221 OVER luu,uuu tJ I u I-+ •· , t=tE_ACH WATFR H_F~!E_~_1\Nll OR VENT E.ACH GAS SYSTEM l TU 1 U\JTlETS f---+-- f -l BOILER·COMPRESSOR UP_TO _3 HP BOILER COMPRESSOR 3 15 HP ---+----- PLAN CHED\ TOTAL PLU~BlriJG -'1r------- ELECTR CAL 00"-810-00 00 8806 00 l-810-00-00-8222 ' I E.i\CH [;AS SYS! EM J ()1-1 \HJH[ f---+- EACHINSTA~ ALTEH.RE.PAIR',','AJERPIPE -· \.1~-AL 'IR~PLACI: ___ l_vE_NT _ _FAN s1N-(;L~ □-~~:1 MECHANICAL 'r I I E:ACH VACUUM BREAKER I: MECH EXHAUST HOOU DUCTS : ~r:-e:c,: ·.::: ·-· . 1 """"''"' """"°""' ,.., .. -·---MOBILEHOME I M. OBILEHOME PARK INSP i I I SOLAR !: TUI t..l Pi l..'MfllN( --·-r --I :[ ,, ' I~ ~,. ·--,,3,-e,,tt-,A'i-RF+<-ISSUE TOT J..L MECHANICAL I ~;TRONG MOTiON FIRE SPRl~Jr\LtRS PUBLIC FACILITIES FEE i QTY ELECTRICAL PERMIT· ISSUE I ' NEW UJNST t.AAMP SW! BKH I I PH ', PH I EXIST tltlJC EAAMP·SWT BKR I ' I PH J PH ·- REMOOE L Al HR PFR c1r,cu11 ;j QTY. * ' C:OL1 ~:;rn;;;:s ~ --+---• srr:,Rt,c~ -,,,_,J1<S PC,C~ Sl'.;RN;E ' P._l\1P lO CX) ---____ ~ _ I SCHOOL FEE -DISTRICT Carlsbad Encinitas San D1egu1to OD 1-81 0-00-00-8223 -+-----------< OD' -810-00-00-8224 001·81 0-00-00-8225 DO 1-810-00-00-8226 880-519-92-33 -------- ~ -1---- 00 -- 001·810-00-00-8227 t I ,,,.s,ooo·octll!J3□ l \ SQ. oo - - ------· t·-- TEMPPOlf 700 AMPS P' :>-!ECK 'EE ------+-~~~-San Marcos . ':.-,. e{: C),:_c,-.:,. . cc OVER 2ll0 AMPS ---i-- TEMPOCCUPANCY _3.D.UAYSI ---~-------·--· ----·--------+---MFF ic:-880 880519~''.:5' :2,80 --.QC. , ___ L_ -----------~--~ ____ ·-----#--f----------------+ CREDITDEPOSIT _C::- T!llAL UE:LTHII.Al ! ()[>ll SC:IA-1 c--r-,. · · ._':,-,__; TOTAL FEES PAYABLE ;:,)__ '-\-(o ..;:i_, , CO ,.----------------------..... ------r----------...1.----..11.-----,-------..,;;...;....;.,;;;.....;; ____ ....... I I HAVE CARE FULL y EXAMINED THE COMPLETED ··APPLICATION AND PERMIT"' AND DO HEREBY Expiration. Every perm1_t issued by the Bui!d1ngOff1c1al under the provisions of this CEATJFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall eJtptre by lrmitatIon and become null and vo,d If the building or work ! DECLARATIONS ARE TRUE ANO CORRECT AND ! FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhonzed by such permit 15 not commenced w1thm 180 days from the date of such * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER s· 0'" DEEP A.NO DEMOLITION OR CONSTRUCTION OF STAUCTUA£S OYER 3 STORIES IN HEKiHT I permrt, or if the building or work authorized by such permit ts suspended or ISSUED: TO COMPLY WITH All CITY. COUN1Y ANO STATE LAWS GOVERNING BUILDING CON-,a•o'::'c"o"°="""""':="c='"ez,•"•m,,c•e"s"e's'c"•e.,•ooe'c'c""''oemC!c!me•sne,,'"e.c'oa,c•'-1'~"0ede.,ocfat,eo,_,ct.,.,__-:c--l""'""""""'""'""'--------------------~ 1 STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APP KEEP HARMLESS THE CJTY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS_ COSTS ANO ROVED BY/:)/ DATE fl 1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE (.,,-- I GRANTING OF THIS PERMIT ,ti,.,,1-'l),.J.(;;__ /-/ © ii: ~ ~ 0 0. E © f- D C C) BP fl ro 0 0. 0. .,: 1 C 0: 0 m m m m m .,: I ~ 0 © ► ,;; m © 0 0 a: ro ;;; 0 fl © 0 C ro C ii: ::: C © ~ C) 0 u © 0. m C © ~ s: TYPE I DATE INSPECTOR BUILDING I FOUNDATION I REINFORCED STEEL I I MASONRY I GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEIL;ING SHEATHING □ ROOF □ SHEAR FRAME I EXTERIOR LATH ' I INSULATION I . INTERIOR LATH & DRYWALL I I I PLUMBING I □ SEWER AND BL/CO = Pii-lCO UNDERGROUND C::: WASTE □ :,,VATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN I GAS TEST I I □ WATER HEATER □ SOLAR WATER I ELECTRICAL ' C::: ELECTRIC UNDERGROUND □, UFFER ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPc)RARY □ BONDING [7 POOL I I MECHANICAL I □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. FINAL I PLUMBING I ELECTRICAL ' I I MECHANICAL I I ' GAS I I / BUILDING ' ,~,t,~~"' I~ I I SPECIAL CONDITIONS I J/M,V-J . I ------ FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION '.::iC)1LS CCHN''. -:..'\J:.· ~ ! PRIOR TO F<"!UN~-\ ~10r-, ''.Sf- RE.O IF I INSPECTORS CHECKED APPROVAL ' I STHUCT, __ IR,'\L CC'".J _:;::it=:T~-·r -1--- ,JVE-P 2~.,/_•.,~: f':-:1 1 ___ gt,-43 INSPECTOR S NOTES LJA TE -- csesTRESSEC I = ===j :-:Or-..CPEE f------___________________________ _ __ _ ~UST -:"EN:-'.")NEr' I --~---- CJ_;NCRETE ~Ir-! D ',VELDIN(_; -a ,;rl SlHE"'c_;~._, ~UL TS ·)f-E::1:1L l;1A'-'I\J'iV f----- r _l C: A l."-.S<; v· 1--· --- 1------ ~--- +----------+----- ---- 1----------------------------------------, - --+----·t-·- ' ·-- ---+----- -c-----+ -·-------t--------- ----------j--------j------ f----------------------~-------------j ! ___ j ------l __ -~ / '-/7-31' I 4' -- 47' ~~-- -I-;,_, I D ~· I ,._. i>tt1v1E. . 33•j• I .,______ ------------~ I .s-!______ I ----------( , .. .._ -.. <.,s , -->-'), p,. ~ L... 1 ND:SAY !)Q - APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO FILL IN BUILDING ADDRESS r ✓ j. 1, OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUILDING EXISTING BUILDING LEGAL DESCRIPTION ., T REMARKS: I I I L LATERAL LOCATION ST. LATERAL NO, _______ INSTALLATION DATE--------1 SE ISSUED BY __ ..;;.;......:....._ __ ---'~~---=-....:...___;:__~---- DATE ISSUED -------"-"~-'-'----------___;.;...;..:.._ VALIDATION LATERA L CHARGE COMPUTATION STANDARD 4" (Max. H. 30', V. 10') _________ _ OVER 30' H. ___ .,,@.__· ___ FT. _________ _ OVER 10' V . ___ @ ___ FT. _- STANDARD 6" (Max. H. 30', V. TO') ________ _ OVER 30' H. ___ @ FT, _________ _ OVER 1o•v , ___ @. ___ FT. _________ _ TOTAL CONSTRUCTION COST ---------- SERVICE CHARGE (REPAVING ETC.) ________ _ TOTAL LATERAL CH ARGE _________ _ LINE COST DATA ASSESSMENT DIST. NO.-------------- FRONTAGE ____ COST PER FT. ___ TOTAL __ _ OTHER ___________________ _ CONNECTION FEE NO. UNITS_....:./ __ COST PEA UNIT--'--'--TOTAL-..c-..c-'--- PUMP STATION FEES NO. UNITS ___ COST PER UNIT ___ TOTAL--- I TOTAL CHARGES (LATERAL ETC.) __ /_,,._ _______ _ WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter c(cARLSBAD UNIFIED SCHOOL DISTRICT □ CARLSBAD HIGH SCHOOL RECEIPT NO. □ VALLEY JUNIOR HIGH SCHOOL 09446 ,~IM[§:C: RECEIVED FROM ~ R L '--~\c_\.2\-. \ (6) \, \'iG C'\-~o FOR ('~"o \'\'..\V> USE OF SCHOOL FACILITIES/RENTALS $ ____ _ USE OF SCHOOL BUS DAMAGE TO SCHOOL PROPERTY DAMAGED OR LOST BOOKS SALE OF SURPLUS INCOME 6 ABATEMENT 0 $ ____ _ $ ____ _ $ ____ _ $----- CHARGE TO ACCOUNT NO. _f_ -!r'!i'-~1 -___ _ REI f;1 BU RjSl;r.llcNTS S Ol\.()0\ ~) DATE TELEPHONE COMMISSIONS $ ____ _ INSURANCE CLAIMS REIMBURSEMENTS (EMPLOYEES) $ ____ _ $ ____ _ TOTAL $=:l:I~;='='\,=~== -\\. /oO").,l,39.)_ . RECEIVED CASH □ CHECK~ RECEIVED BY '(\I · Q\¼-e:s-f-~